Behavioral/Systems/Cognitive

Consolidation of Fear Extinction Requires Protein Synthesis in the Medial Prefrontal Cortex

Edwin Santini, Hong Ge, Keqin Ren, Sandra Peña de Ortiz and Gregory J. Quirk
Journal of Neuroscience 23 June 2004, 24 (25) 5704-5710; https://doi.org/10.1523/JNEUROSCI.0786-04.2004

Abstract

Extinction of conditioned fear is thought to form a long-term memory of safety, but the neural mechanisms are poorly understood. Consolidation of extinction learning in other paradigms requires protein synthesis, but the involvement of protein synthesis in extinction of conditioned fear remains unclear. Here, we show that rats infused intraventricularly with the protein synthesis inhibitor anisomycin extinguished normally within a session but were unable to recall extinction the following day. Anisomycin-treated rats showed no savings in the rate of re-learning of extinction, consistent with amnesia for extinction training. The identical effect was observed when anisomycin was microinfused into the medial prefrontal cortex (mPFC) but not the insular cortex. Furthermore, we observed that extinction training increased c-Fos levels in the mPFC but not in the insular cortex, consistent with extinction-induced gene expression in the mPFC. These findings extend previous lesion and unit-recording data by demonstrating that the mPFC is a critical storage site for extinction memory, rather than simply a pathway for expression of extinction. Understanding consolidation of fear extinction could lead to new treatments for anxiety disorders in which fear extinction is thought to be compromised.

Introduction

It is now well established that memory consolidation requires gene expression and protein synthesis (Silva et al., 1998; Kandel, 2001; Pena de Ortiz and Arshavsky, 2001). This has been elegantly demonstrated in studies of cued fear conditioning in which a tone or light is paired with a mild footshock (Ressler et al., 2002; Lamprecht and LeDoux, 2004). Long-term memory for the tone-shock association can be blocked by infusing the protein synthesis inhibitor anisomycin (ANISO) into the basolateral amygdala (BLA) just before training (Schafe and LeDoux, 2000; Maren et al., 2003). Moreover, fear conditioning induces the expression of immediate-early genes in the BLA that are thought to trigger secondary transcriptional cascades that stabilize early synaptic changes (Rosen et al., 1998; Ressler et al., 2002).

Although the molecular mechanisms of fear acquisition have been studied extensively, less is known about fear extinction, in which unreinforced tones cause fear responses to decrease. Behavioral studies suggest that extinction does not erase conditioning but forms a separate memory that inhibits conditioned responding (Bouton and King, 1983; Rescorla, 2001). Memory for fear extinction can last 10 d or longer (Herry and Garcia, 2002; Quirk, 2002), suggesting the involvement of gene expression and protein synthesis. Extinction in other paradigms requires protein synthesis (Berman and Dudai, 2001; Vianna et al., 2001; Pedreira and Maldonado, 2003), however, the extent to which extinction of fear depends on protein synthesis is unclear (Lattal and Abel, 2001; Fischer et al., 2004).

If memory for fear extinction depends on protein synthesis, which structure(s) consolidates and stores extinction memory? One candidate structure is the medial prefrontal cortex (mPFC). Rats with lesions of the mPFC have difficulty recalling extinction learned the previous day (Morgan et al., 1993; Quirk et al., 2000; but see Gewirtz et al., 1997). Consistent with this, recall of extinction is correlated with plasticity in mPFC single units (Milad and Quirk, 2002), mPFC-evoked potentials (Herry and Garcia, 2002), and mPFC glucose utilization (Barrett et al., 2003). These findings do not tell us, however, whether the mPFC is a site of storage of extinction memory or simply a route for expression of extinction stored elsewhere. To address this issue, we first infused ANISO intraventricularly to determine whether consolidation of fear extinction requires protein synthesis anywhere in the brain. We next microinfused ANISO into either the mPFC or the insular cortex, a structure implicated in extinction of conditioned taste aversion. Finally, we examined the effect of extinction training on the expression of the immediate-early gene c-fos in the mPFC and insular cortex. A preliminary report of these findings has appeared (Santini et al., 2003).

Materials and Methods

Subjects. The procedures were approved by the Institutional Animal Care and Use Committee of the Ponce School of Medicine in compliance with National Institutes of Health (NIH) guidelines for the care and use of laboratory animals (Publication number DHHS NIH 86-23). Male Sprague Dawley rats weighing 270-300 gm were transported from the Ponce School of Medicine colony to a satellite facility where they were individually housed in transparent polyethylene cages inside a negative-pressure Biobubble (Colorado Clean Room, Ft. Collins, CO). Rats were maintained on a 12 hr light/dark schedule with ad libitum access to water. Food was restricted to 10-15 gm of standard laboratory rat chow per day until rats reached 85% of their original weight. They were then trained to press a bar for food on a variable interval schedule of reinforcement (VI-60), in a standard operant chamber (Coulborn Instruments, Allentown, PA). This was done to maintain a constant level of activity against which freezing can be reliably measured (Quirk et al., 2000).

Surgery. After bar-press training, rats were anesthetized with ketamine (80-90 mg/kg, i.p.)-xylazine (5-10 mg/kg, i.p.), after pretreatment with atropine (0.24 mg/kg, i.p.). Rats were implanted with a 26 gauge stainless steel guide cannula in one of three sites, according to a stereotaxic atlas (Paxinos and Watson, 1998): left lateral ventricle [anteroposterior (AP), -0.4 mm; mediolateral (ML), +1.3 mm; dorsoventral (DV), -4.2 mm from the skull], ventral mPFC (AP, +2.9 mm; ML, -1.0 mm; DV, -4.1 mm from the skull, angled 11° toward the midline in the coronal plane), or insular cortex (AP, +1.2 mm; ML, ±5.5 mm; DV, -5.5 mm from the skull). A 33 gauge dummy cannula was inserted into the guide cannula to prevent clogging. Guide cannulas were cemented to the skull with dental acrylic (Grip Cement), and the incision was sutured. After surgery, a triple antibiotic was applied and an analgesic was given (Buprenorphine; 0.67 ml/kg, i.m.). Rats were allowed 7 d to recover before experimental procedures.

Fear conditioning. Rats were fear conditioned and extinguished in an operant chamber while pressing for food. The chamber was 25 × 29 × 28 cm with aluminum and Plexiglas walls (Coulborn Instruments). The floor consisted of stainless steel bars that could be electrified to deliver a mild shock. A response bar was positioned 6.5 cm above the floor, a speaker was mounted on the outside wall opposite the bar, and illumination was provided by a single overhead light. The chamber was situated inside a sound-attenuating box (Med Associates, Burlington, VT) with a ventilating fan, which produced an ambient noise level of 60 dB. The conditioned stimulus was a 4 kHz sine wave with a duration of 30 sec and an intensity of 80 dB. The unconditioned stimulus was a 0.5 mA scrambled footshock, 0.5 sec in duration, which co-terminated with the tone during the conditioning phase. Throughout the experiment, food was continuously available on a VI-60 schedule. Between sessions, floor trays and shock bars were cleaned with soapy water and the chamber walls were wiped with a damp cloth. Behavior was recorded with digital video cameras (Micro Video Products, Ontario, Canada).

Anisomycin experiments. On day 1, rats received five habituation trials (tone alone), followed by seven conditioning trials [tone paired with shock; intertrial interval (ITI), 4 min). Afterward, rats were matched for acquired freezing levels, and assigned to one of three experimental groups: ANISO, artificial cerebrospinal fluid (ACSF) vehicle control, or no-extinction (NO-EXT) controls. On day 2, all animals were infused with either ACSF or ANISO into the left lateral ventricle (300 μg in 5 μl) (Schafe et al., 1999), mPFC (50 μg in 0.5 μl in a single midline injection), or insular cortex (100 μg; 0.5 μl per side), as described previously (Berman and Dudai, 2001). The infusion rate was 0.1 μl/min in all experiments. After the infusion, a delay of 10 min (for ventricular infusions) or 20 min (for mPFC and insular infusions) was interposed before extinction training. Rats received 15 extinction tones with an ITI of 2 min, resulting in a 50 min session. The NO-EXT controls were infused with ACSF, given only two extinction trials, and then returned to their home cages. On day 3, all groups received 15 additional extinction trials to test for recall of extinction and assess the rate of re-learning of extinction.

Data analysis. The percentage of time spent freezing (Blanchard and Blanchard, 1972) was used as a measure of conditioned fear. Freezing is the cessation of all movements, except respiration. The total time spent freezing during the 30 sec tone was scored from videotape with a digital stopwatch by observers blinded with respect to the experimental group. Percentage of recovery of freezing was calculated by dividing the average freezing in extinction trials 1-2 (day 3) by the average in conditioning trials 6-7 (day 1). Freezing and recovery values were analyzed with either Student's t test or one-way ANOVA (STATISTICA; Statsoft, Tulsa, OK). After a significant main effect, post hoc tests were performed with the Scheffé method.

Histology. At the conclusion of the experiments, rats were microinfused with an equivalent volume of methylene blue (0.5 μl of 0.5%) to estimate the spread of ANISO. The borders of the dye spread were drawn for each rat. Afterward, the rats received an overdose of pentobarbital (150 mg/kg) and were perfused transcardially with 0.9% saline, followed by buffered formalin. Brains were removed and placed in 10% buffered formalin with 30% sucrose. Frozen sections (40 μm thickness) were stained for Nissl bodies, and the cannula tips were drawn.

c-Fos experiments. There were five treatment groups. (1) Extinction rats (EXT) received five habituation trials immediately, followed by seven conditioning trials (ITI, 4 min). After 2 hr in the home cage, they were returned to the conditioning chamber for 20 extinction trials (ITI, 4 min). (2) NO-EXT rats were conditioned as above but were given only two extinction trials and immediately returned to their home cages. (3) Unpaired rats received tones and shocks in an unpaired manner during the conditioning phase and were returned to their home cages for the duration of the experiment. (4) Tone-alone rats received a full set of habituation, conditioning, and extinction tones but were never shocked. (5) No-tone/shock rats received neither tones nor shocks but simply pressed for food in the conditioning chamber for the same amount of time as the EXT group. After training, all groups received two test tones (30 sec each; ITI, 4 min) and then were etherized and decapitated within 5 min of the last test tone. This occurred 30 min after the end of the extinction session and 4 hr after the end of conditioning. Brains were frozen on dry ice and maintained at -80°C. For the Western blot experiment, EXT and NO-EXT animals were treated as above, except that the NO-EXT rats remained in the chamber for the duration of the extinction session, to control for context exposure. After the test tones, brains were removed immediately and chilled on dry ice. Coronal sections containing the mPFC were obtained using a Brain Matrix (Ted Pella, Redding, CA). Tissue punches (3 mm thick) were obtained bilaterally from the mPFC and insular cortex under a dissecting microscope. Samples were stored at -80°C until nuclear protein extraction (see below).

Immunohistochemistry. Frozen coronal sections were cut from unfixed tissue (25 μm thick) in a cryostat at -20°C. Sections were pretreated as described previously (Ge et al., 2003). The primary anti-rabbit c-Fos polyclonal antibody (Santa Cruz Biotechnology, Santa Cruz, CA) was used at a 1:100 dilution, and the goat anti-rabbit biotinylated secondary antibody was diluted at 9:1000. Detection was done with ABC peroxidase reagent (avidin-biotin peroxidase complex; Pierce, Rockford, IL) and DAB. DAB-oxidized brown precipitates were visualized at 10× and captured with a digital camera. Binding specificity of the antibody was confirmed with immunoabsorption with a Fos peptide. c-Fos-immunoreactive nuclei in the dorsal third, medial third, and ventral third of the mPFC were counted with the Image/J software (Scion, Frederick, MD). The number of positive nuclei per square millimeter was compared across treatment groups with one-way ANOVA and Fisher LSD post hoc tests.

Nuclear protein extraction and Western blotting. Tissue from the mPFC and insular cortex was collected in pools of six rats per condition, yielding two pools for the EXT condition and two pools for the NO-EXT condition. From this, a total of four Western blot experiments (each containing both structures and both conditions) were run. The procedures for nuclear protein extraction (performed at 4°C) were modified from Best et al. (1999). The nuclear fraction was precipitated by centrifugation for 10 min at 14,000 rpm. The pellet was resuspended in 300 μl of ice-cold extraction buffer (10 mm HEPES-KOH, pH 7.9, 20% glycerol, 50 mm NaCl, 5 mm MgCl2, 0.2 mm EDTA, 5 mm DTT, 1 mm PMSF, 2 μg/ml aprotinin, and 2 μg/ml leupeptin), incubated on ice for 30 min, and then centrifuged at 14,000 rpm for 20 min. The supernatant was collected, and the protein concentration was determined by the Bradford method. The protein samples were stored at -80°C until used. Western blotting was performed as described previously (Ge et al., 2003). The blotted membrane was incubated first with 1:1000 c-Fos antibody (Santa Cruz Biotechnology) and subsequently with 1:1000 biotinylated secondary anti-rabbit antibody (Amersham Biosciences, Piscataway, NJ). Antibody binding specificity was confirmed by immunoabsorption with a c-Fos peptide. The ECL+ system (Amersham Biosciences) was used for immune detection. Membranes were then stripped of antibodies and reprobed for actin as described previously (Ge et al., 2003). Films were scanned and analyzed in a densitometer (Molecular Dynamics, Sunnyvale, CA; and Amersham Biosciences). Data normalization was done by dividing the mean c-Fos optical densities per condition by the corresponding actin optical densities. c-Fos/actin ratios were compared with a two-tailed unpaired t test.

Results

Memory for fear extinction requires protein synthesis

To determine whether memory for extinction of cued fear conditioning depends on protein synthesis anywhere in the brain, ANISO was infused into the lateral ventricle (Fig. 1A). We initially investigated whether this might interfere with reconsolidation of conditioning memory (Nader et al., 2000; Eisenberg et al., 2003), which could confound our analysis of extinction retention. On day 1, rats were conditioned with seven tone-shock pairings. On day 2, they received intraventricular ANISO or ACSF, followed 20 min later by two extinction tones, which did not cause significant extinction in this task. ANISO did not impair recall of conditioning the following day (Fig. 1B). The ANISO and ACSF groups froze 64 ± 7.9 and 71 ± 5.4%, respectively, which were not significantly different (t9 = 0.77; p = 0.46). Thus, in agreement with a prior report (Debiec et al., 2002), ventricular ANISO did not interfere with reconsolidation of fear conditioning.

Figure 1.
Figure 1.

Infusing the protein synthesis inhibitor ANISO into the lateral ventricle blocked retention, but not acquisition, of fear extinction. A, Drugs were infused through a cannula chronically implanted into the left lateral ventricle (LV). B, Freezing to the tone shown in blocks of two trials across all phases of the experiment (trial 7 of conditioning and trial 15 of extinction not shown). On day 1, rats were fear conditioned (Cond). On day 2, rats were infused intraventricularly with 300 μg of ANISO (n = 6) or vehicle (ACSF; n = 6), followed by two extinction tones (Test). On day 3, both groups showed equivalently high freezing, indicating that ventricular ANISO does not interfere with reconsolidation of conditioning memory. no-ext, No extinction. C, The experiment was repeated with separate rats given 15 extinction tones. Rats infused with ANISO (n = 9) showed normal within-session extinction compared with ACSF controls (n = 9) but were unable to recall extinction on day 3 (high freezing). ANISO rats showed no savings in their rate of relearning compared with NO-EXT controls (n = 6), suggesting amnesia for original extinction training. In this and all subsequent figures, the arrows indicate infusion and the error bars indicate SEM. Histology drawings in this and subsequent figures were adapted from Paxinos and Watson (1998).

We repeated this experiment in separate rats, giving 15 extinction tones instead of two (Fig. 1C). Intraventricular ANISO did not impair the rats' ability to extinguish fear to the tone within the training session. The following day, however, ANISO-treated rats behaved as if they never received extinction, showing high freezing that was equivalent to a control group that was not extinguished (NO-EXT group). Average freezing to the first two tones on day 3 was 68, 27, and 71% in the ANISO, ACSF, and NO-EXT groups, respectively. Expressed as a percentage of acquired freezing, the ANISO, ACSF, and NO-EXT groups recovered 98, 39, and 102%, respectively. ANOVA indicated a main effect of group (F(2,20) = 8.765; p < 0.001), with ANISO rats showing significantly higher freezing than ACSF rats (p < 0.01) and equivalent freezing to NO-EXT controls (p = 0.8). Furthermore, ANISO rats showed no savings in their rate of re-learning of extinction compared with NO-EXT controls (Fig. 1C), consistent with amnesia for extinction training, although a profound deficit in retrieval cannot be ruled out. Thus, ANISO given before extinction training blocked long-term retention of extinction, without impairing its acquisition.

The high level of freezing in the ANISO group could not be attributed to reduced drive to press for food, because the rate of spontaneous bar-pressing at the start day 3 did not differ significantly between groups (ACSF, 30 presses/min; ANISO, 25 presses/min; t16 = 0.83; p = 0.41).

ANISO does not induce state-dependent learning

One possible explanation of our findings is that ANISO induced a behavioral state during extinction training, which would be required at test for recall of extinction (Bouton et al., 1990). In the above experiments, rats were trained under ANISO and tested drug free. To test for a possible state-dependent effect, we repeated the above experiment, except that one group received ANISO both during extinction training and test (ANISO-ANISO group), whereas another group received ANISO during training, followed by ACSF at test (ANISO-ACSF group). Contrary to predictions of state-dependent learning, ANISO given at test failed to trigger recall of extinction. At test, the ANISO-ANISO group froze 69% (±6.8) compared with 57% (±15.6) in the ANISO-ACSF group. The corresponding freezing recovery values were 99 and 100% for the ANISO-ACSF and ANISO-ANISO groups, respectively, which were not significantly different (t10 = 0.0325; p = 0.97). Thus, as observed previously (Patterson et al., 1989), intraventricular ANISO does not induce state-dependent learning.

Memory for fear extinction requires protein synthesis in the mPFC but not the insular cortex

To determine the site of extinction-dependent protein synthesis, we microinfused ANISO directly into the mPFC or insular cortex shortly before extinction training. Similar to ventricular infusions, rats infused bilaterally with ANISO into the mPFC extinguished normally but were unable to recall extinction the following day (Fig. 2A, B). The percentage of recovery of freezing on day 3 was 111, 52, and 95% in the ANISO, ACSF, and NO-EXT groups, respectively. One-way ANOVA of recovery values showed a main effect of group (F(2,27) = 5.34; p < 0.01), with post hoc tests confirming that ANISO rats showed significantly higher freezing than ACSF controls (p < 0.01) and equivalent freezing to NO-EXT controls. The rate of spontaneous bar-pressing was not affected by ANISO (ACSF, 29 presses/min; ANISO, 30 presses/min; t22 = 0.32; p = 0.74). Similar to the intraventricular infusions, ANISO-treated rats showed no savings in their rate of re-learning of extinction. Infusion of ANISO 4 hr after extinction had no effect (Fig. 2C), indicating that extinction-related protein synthesis is time limited. The lack of effect at 4 hr also suggests that ANISO did not damage the mPFC. In further support of this, histological analysis showed no evidence of increased gliosis or cell loss in ANISO-treated rats (Fig. 3).

Figure 2.
Figure 2.

Infusing ANISO into the mPFC blocked retention, but not acquisition, of fear extinction. A, Location of cannula tips in the mPFC for the ANISO (•) and ACSF (○) groups. The extent of dye spread, averaged across all rats in the ANISO group, is indicated by the thick line. IL, Infralimbic area; PrL, prelimbic area; Cg1, cingulate cortex; DP, dorsal peduncular area. B, Freezing to the tone. Just before extinction on day 2, rats were infused with 50 μg of ANISO (n = 12) or vehicle (ACSF, n = 12; NO-EXT, n = 6). Rats infused with ANISO into the mPFC showed normal within-session extinction but could not recall extinction on day 3. As with ventricular infusions, ANISO-infused rats showed no savings in their rate of re-learning of extinction training. C, Infusing ANISO into the mPFC 4 hr after extinction training had no effect (ANISO, n = 6; ACSF, n = 6). Cond, Conditioning.

Figure 3.
Figure 3.

ANISO did not lesion the mPFC. Representative photomicrographs show mPFC tissue from rats infused with ACSF (left) or ANISO (right). There was no evidence of increased cell loss or gliosis in the ANISO animals. Scale bar, 0.5 mm.

In contrast to the mPFC, bilateral infusions of ANISO into the insular cortex had no effect (Fig. 4B). Recovery of freezing on day 3 in the ANISO group (16 ± 10.3%) was not significantly different from the ACSF group (32 ± 15.8%; t10 = 1.07; p = 0.31). The results of all experiments are summarized in Figure 4C, which shows that extinction memory was blocked by ANISO infused into the lateral ventricle or mPFC but not the insular cortex.

Figure 4.
Figure 4.

Infusing ANISO into the insular cortex had no effect on acquisition or retention of extinction. A, Location of cannula tips in the insular cortex for the ANISO (•) and ACSF (○) groups and approximate spread of an equivalent volume of dye. Par1, Parietal cortex area 1; GI, granular insular cortex; DI, dysgranular insular cortex; AI, agranular insular cortex; CPu, caudate-putamen. B, Freezing to the tone. ANISO infused before extinction training did not impair acquisition or retention of extinction (ANISO, n = 6; ACSF, n = 6). Cond, Conditioning. C, Histogram summarizing the ANISO experiments. Vent, Ventricular infusion; Ins., insular cortex. ANOVA showed a main effect of group (F(3, 37) = 11.06; p < 0.001). Post hoc comparisons showed that only the ACSF-extinction and ANISO-insular groups significantly differed from NO-EXT controls (both *p < 0.05), indicating that ANISO blocked extinction memory when infused into the lateral ventricle or mPFC but not the insular cortex.

Extinction training induces c-Fos in the mPFC but not the insular cortex

Our findings suggest that extinction triggers synthesis of proteins in the mPFC that are essential for long-term memory storage. To further investigate this possibility, we used immunohistochemical techniques to measure c-Fos protein levels in the mPFC. c-Fos is the product of the immediate-early gene c-fos and functions as a transcription factor in various learning paradigms (for review, see Kaczmarek, 2002), including acquisition of fear conditioning (Rosen et al., 1998; Hall et al., 2001).

c-Fos levels were assessed in two conditioned groups (EXT and NO-EXT) and three unconditioned control groups (unpaired, tone-only, and no-tone/shock; see Materials and Methods). The EXT and NO-EXT groups acquired equivalent levels of conditioned freezing to the tone (57 and 55%, respectively). Extinction training reduced freezing in the EXT group to 12.5%, whereas the NO-EXT group remained at 63%. When tested 20 min after extinction, freezing levels were unchanged (EXT, 9%; NO-EXT, 57%). Freezing in the unconditioned controls was <4% in all groups (Fig. 5A). One-way ANOVA revealed a main effect of group (F(4,65) = 33.0; p < 0.001), with post hoc tests confirming that the NO-EXT group showed significantly higher freezing than all other groups (all p < 0.001).

Figure 5.
Figure 5.

Extinction increased the density of c-Fos-labeled cells in the mPFC. A, Freezing to the test tones for rats that received extinction (E; n = 17), no-extinction (NE; n = 17), unpaired tones and shocks (UP; n = 12), tones only (T; n = 13), or no-tones or shocks (NT; n = 11). Freezing in the extinction group was significantly lower than NO-EXT controls (***p < 0.001) and was no different from unconditioned controls. B, Photomicrographs showing representative c-Fos labeling in the mPFC of extinction and NO-EXT brains. Scale bar, 0.1 mm. C, Histograms showing the average density of c-Fos-labeled nuclei across treatment groups, in the dorsal, middle, and ventral subdivisions of the mPFC, corresponding to the cingulate, prelimbic, and infralimbic cortices, respectively. The extinction group showed significantly more c-Fos-labeled cells than controls, in all three subregions (***p < 0.001; **p < 0.01; main effect; one-way ANOVA).

Rats were killed immediately after the test tones. This occurred 4 hr after the end of conditioning and 30 min after the end of extinction. Given that the latency for c-Fos induction is 30-60 min (Kaczmarek, 2002), we were in a position to detect c-Fos expression that might be initiated during extinction training. In fact, the density of c-Fos-labeled cells in the EXT group was significantly greater than controls in all three mPFC subregions examined (Fig. 5B, C). ANOVA showed a main effect of group for each area (dorsal mPFC: F(4,65) = 6.45, p < 0.001; middle mPFC: F(4,65) = 3.63, p < 0.01; ventral mPFC: F(4,65) = 3.75; p < 0.01). Post hoc tests confirmed that the EXT group showed a significantly higher density of c-Fos-labeled cells than all control groups in the dorsal mPFC (all p < 0.01), medial mPFC (all p < 0.05), and ventral mPFC (all p < 0.05). The low levels of c-Fos in the control groups allowed us to rule out factors such as acquisition of conditioning, recall of conditioning, footshock stimulation, or tone stimulation as causes of increased c-Fos at this time point. Thus, we concluded that the increased c-Fos signal in the EXT group was attributable to extinction training per se.

To confirm these findings, we used Western blots to measure c-Fos protein in separate EXT and NO-EXT groups, trained as above. Immediately after the test tones, the entire mPFC and insular cortex were dissected and homogenized for protein extraction. In both areas, Western blots revealed a clear band at 62 kDa, corresponding to c-Fos protein (Fig. 6). In the mPFC, the EXT group showed significantly higher levels of c-Fos (normalized to actin) compared with the NO-EXT controls (t6 = 2.95; p < 0.05), confirming our immunocytochemical results. In contrast, the insular cortex showed equivalent c-Fos levels in both groups (t6 = 0.84; p = 0.43).

Figure 6.
Figure 6.

Extinction increased c-Fos protein levels in the mPFC but not insular cortex. A, Western blots showing c-Fos and actin (62 and 42 kDa, respectively) for the mPFC and insular cortex. B, Densitometric analysis showing the average ratio of c-Fos to actin in the EXT (n = 12) and NO-EXT (n = 12) groups for the mPFC (left) and insular cortex (right). EXT rats showed significantly more c-Fos expression than NO-EXT controls only in the mPFC (*p < 0.05), confirming the immunocytochemical findings.

Discussion

We used ANISO and c-Fos immunolabeling to investigate the molecular mechanisms of consolidation of fear extinction. Our results can be summarized as follows: (1) consolidation of fear extinction requires protein synthesis; (2) the mPFC, but not the insular cortex, is a critical site of extinction-induced protein synthesis; and (3) extinction training increases the product of the immediate-early gene c-fos in the mPFC, but not the insular cortex. This is the first demonstration that long-term memory for fear extinction requires protein synthesis in the mPFC, suggesting that the mPFC is a site of consolidation and storage in this paradigm.

The observation that extinction of cued fear conditioning requires protein synthesis agrees with recent studies of extinction of conditioned taste aversion (Berman and Dudai, 2001; Eisenberg et al., 2003) and inhibitory avoidance (Vianna et al., 2001, 2003). It disagrees, however, with a previous report in which extinction of contextual fear conditioning and water maze training were unaffected by ANISO administered systemically (Lattal and Abel, 2001). Whether this difference is caused by the route of drug administration or reflects a fundamental difference between extinction of tone versus context conditioning remains unclear. It is worth noting that lesions of the mPFC, which are so deleterious for extinction of tone fear (Morgan et al., 1993; Quirk et al., 2000), have no effect on extinction of contextual fear (Morgan et al., 1993), suggesting different circuits for extinction of tone versus context.

Previous studies in rats have implicated the mPFC in memory for fear extinction: (1) rats with lesions of the ventral mPFC extinguish normally but cannot recall extinction 24 hr later (Quirk et al., 2000); (2) recall of extinction is inversely correlated with single-unit tone responses in the mPFC (Milad and Quirk, 2002), evoked potentials in the mPFC (Herry and Garcia, 2002), and glucose utilization in the mPFC (Barrett et al., 2003); and (3) stimulation of the mPFC mimicking extinction-induced tone responses reduces conditioned fear (Milad and Quirk, 2002; Milad et al., 2004). The above findings suggest that the mPFC is necessary for expression of extinction. They do not, however, tell us whether the mPFC stores a memory for extinction or is simply necessary for expression of extinction stored in other cortical or subcortical sites. The high recovery of freezing, coupled with the lack of savings, strongly suggests that the mPFC is a storage site for extinction memory. It is important to note, however, that rats with lesions of the ventral mPFC exhibit savings in the rate of reextinction in this task (Quirk et al., 2000; Lebron et al., 2003). The apparent disagreement between lesion and ANISO experiments could be attributable to spread of ANISO to additional dorsal subregions of the mPFC (Barrett et al., 2003), or partial recovery of function in lesioned animals.

Infusions of ANISO into the insular cortex had no effect, despite previous observations that this same manipulation prevents extinction of conditioned taste aversion (Berman and Dudai, 2001; Eisenberg et al., 2003). This is consistent with the established role of the insular cortex in acquisition of conditioned taste aversion (Dudai, 2002). Thus, the structure mediating the acquisition of a task may also mediate its extinction (Myers and Davis, 2002). In support of this idea for fear conditioning, infusion of NMDA antagonists (Falls et al., 1992) or MAP kinase inhibitors (Lu et al., 2001) into the BLA prevented across-day extinction of fear-potentiated startle, and microinfusions of ANISO into the amygdala prevented recall of extinction at a 30 min test (Lin et al., 2003). This raises the possibility that extinction requires plasticity in both the mPFC and the amygdala. A similar idea has been proposed for conditioned taste aversion, in which both the amygdala and insular cortex are required for long-term extinction memory (Bahar et al., 2003). Our findings support the hypothesis that fear extinction is initially learned in the amygdala and then transferred to cortical areas during consolidation (Santini et al., 2001; Milad and Quirk, 2002; Lin et al., 2003), similar to other forms of learning (McGaugh, 2000; Wittenberg and Tsien, 2002; Roozendaal et al., 2004).

Extinction-induced c-Fos in the mPFC suggests that ANISO prevented the expression of c-Fos-regulated genes necessary for long-term extinction memory in the mPFC. Antisense or transgenic approaches (Morrow et al., 1999; Fleischmann et al., 2003) will be needed to determine whether c-Fos expression is critical for extinction memory. Consistent with this possibility, c-Fos antisense administered intraventricularly prevented extinction of conditioned taste aversion (Swank et al., 1996). We observed increased c-Fos in all three subregions of the mPFC examined. Recording and lesion studies have focused on the role of the ventral mPFC (infralimbic area) in recall of extinction. Our findings suggest that other areas of the mPFC may also store extinction, consistent with a recent metabolic mapping study showing activation of the anterior cingulate and dorsolateral mPFC during recall of fear extinction (Barrett et al., 2003). Additional experiments will be needed to determine whether extinction signaling in the dorsal mPFC is as important as the ventral mPFC for extinction behavior.

Prefrontal dysfunction has been observed in post-traumatic stress disorder (Bremner et al., 1999; Shin et al., 2004), depression (Botteron et al., 2002), and schizophrenia (Knable and Weinberger, 1997), all of which are associated with increased fear and anxiety. It has been suggested that extinction of fear may be compromised in these disorders (Charney, 2004). Interestingly, long-term treatment with anti-psychotic medications in rats increased the levels of c-Fos in the mPFC (Kontkanen et al., 2002), suggesting that these drugs may stimulate an endogenous fear-reduction system. A better understanding of molecular mechanisms of fear extinction could lead to new pharmacological treatments for anxiety disorders targeting the mPFC.

Footnotes

  • This work was supported by National Institutes of Health Grants F31-MH066575 (E.S.), R01-MH058883 and S06-GM08239 (G.J.Q.), and P20-RR015565 (S.P.d.O.). We thank Marian Sepulveda for assistance with the behavioral studies and Drs. Ted Abel, Mohammed Milad, Karim Nader, and Denis Paré for comments on this manuscript.

  • Correspondence should be addressed to Dr. Gregory J. Quirk, Department of Physiology, Ponce School of Medicine, P.O. Box 7004, Ponce, Puerto Rico 00732-7004. E-mail: gjquirk{at}yahoo.com.

  • Copyright © 2004 Society for Neuroscience 0270-6474/04/245704-07$15.00/0

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Consolidation of Fear Extinction Requires Protein Synthesis in the Medial Prefrontal Cortex
Edwin Santini, Hong Ge, Keqin Ren, Sandra Peña de Ortiz, Gregory J. Quirk
Journal of Neuroscience 23 June 2004, 24 (25) 5704-5710; DOI: 10.1523/JNEUROSCI.0786-04.2004
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